NPI | 1801576772 |
---|---|
Entity Type | Organization |
Authorized Contact | TA'DARIO WOODS CEO 832-408-0242 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-02-06 |